Provider Demographics
NPI:1366539645
Name:SALES, MICHAEL ARTHUR (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARTHUR
Last Name:SALES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 ROYAL TER
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3844
Mailing Address - Country:US
Mailing Address - Phone:805-937-7990
Mailing Address - Fax:
Practice Address - Street 1:1070 E CLARK AVE
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-5038
Practice Address - Country:US
Practice Address - Phone:805-937-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA211991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics